Sponsors (21)
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Prohibits the Department of Health and Human Services from approving any Section 1115 Medicaid or CHIP demonstration that provides federal funds for abortions or health coverage that includes abortion, including travel or lodging to obtain an abortion. The prohibition takes effect on enactment and includes three narrow exceptions: rape or incest, abortions necessary to prevent death from a physical disorder/injury/illness (as certified by a physician), and treatment for miscarriage or ectopic pregnancy.
The bill maintains and clarifies federal limits on Medicaid funding for elective abortions and Section 1115 demonstrations—giving states and HHS clearer rules—but does so by restricting coverage options that will reduce access and raise costs for low‑income and marginalized pregnant people while shifting administrative and financial burdens to states, providers, and insurers.
Medicaid beneficiaries and taxpayers: the bill preserves the federal prohibition on using Medicaid funds to pay for elective abortions and bars Section 1115 waivers from requiring Medicaid coverage of elective abortions, maintaining existing federal funding limits.
State governments and HHS: the bill clarifies federal limits on Section 1115 demonstration projects, giving regulators and states clearer guidance about which demonstration designs are permissible.
Pregnant people in serious or tragic circumstances: the bill preserves access to abortion services in demonstrations for pregnancies resulting from rape or incest, life‑threatening conditions, miscarriage, or ectopic pregnancy.
Low-income people on Medicaid (especially women and marginalized groups): the bill reduces access to abortion coverage through Medicaid and 1115 demonstrations, likely increasing out‑of‑pocket costs, causing delays, and forcing some to forego care.
People who must travel for care (often low‑income): the bill bars travel and lodging reimbursements in demonstrations, increasing the financial burden on those who need to travel out of area for abortion services.
State governments, private insurers, and taxpayers: by removing Medicaid coverage options for elective abortions, the bill may shift costs to states or private insurers, raising state budgets or insurance premiums.
Introduced January 24, 2025 by Josh Brecheen · Last progress January 24, 2025